A Conceptual Model of Individual Clinical Readiness

Area of Science:

• Military Medicine
• Healthcare Management
• Clinical Readiness

Background:

• Force readiness is a Department of Defense priority, requiring individual personnel to be ready for deployment.
• Individual clinical readiness (ICR) is defined as the ability of clinically oriented service members (COSMs) to competently provide patient care in deployed settings.
• Existing literature lacks a defined conceptual model for ICR, with related concepts used inconsistently.

Purpose of the Study:

• To define Individual Clinical Readiness (ICR).
• To propose a conceptual model for ICR to guide future efforts and research.
• To inform military medical leaders on achieving and improving ICR.

Main Methods:

• A 3-step theoretical model synthesis process was employed.
• Key concepts were specified, and related factors and relationships were identified.
• An integrated network of ideas was organized to form the conceptual model.

Main Results:

• ICR is the ability of COSMs to meet the demands of their assigned clinical mission.
• Individual clinical performance is distinct from ICR and influenced by individual characteristics, education, training, and exposure quality.
• Patient outcomes are indirectly influenced by ICR and its antecedents, and also by external patient environment and patient characteristics.

Conclusions:

• ICR is essential for military force readiness and the deployability of medical personnel.
• The proposed model defines ICR, identifies related concepts, and provides a framework for military medical leaders.
• Further research is needed to refine the model, test relationships, and develop interventions to improve ICR.